Ingabe isikhumba sakho sihlala siluma? Kungaba yi-neurodermatitis!

Ingabe ngezinye izikhathi uqhubeka nokuklwebha indawo efanayo yomzimba wakho, futhi kungakhathaliseki ukuthi uklwebha kangakanani, ukulunywa ngeke kuphele? Akukhona lokho kuphela, kodwa indawo oyiklwebhayo isibe bomvu, isikhumba sesijiyile, futhi ngezinye izikhathi siphenduke umbala ohlukile? Uma kunjalo, kubaluleke kakhulu ukuthi uqaphele lesi simo sesikhumba esizokhuluma ngaso namuhla, okungukuthi i-neurodermatitis. Ungakhathazeki, lesi akusona isifo esisongela ukuphila, kodwa singacasula kancane.

Iyini ngempela lesifo sesikhumba esibizwa ngokuthi i-neurodermatitis?

Kalula nje, i-neurodermatitis yisimo sesikhumba esibangela ukulunywa okuqhubekayo endaweni eyodwa noma ezimbili zesikhumba. Odokotela baphinde bakubize ngokuthi yi-lichen simplex chronicus.

Lokhu kuqubuka kungavela noma kuphi emzimbeni. Kodwa kuvame ukubonakala ezingalweni, emahlombe, ezindololwaneni, emilenzeni, emaqakaleni, ezihlakaleni, ezintendeni zezandla, ngemuva kwentamo, noma ekhanda. Abanye abantu bangase babe nalokhu kuqubuka eduze kwendunu nezindawo zangasese, kanye nasebusweni.

Cabanga ukuthi lokhu kuluma kungaba nzima kangakanani. Ngezinye izikhathi ufuna nje ukukuklwebha njalo. Noma, kuqala futhi ngemva kwesikhashana. Lokhu kuluma kubonakala kakhulu uma uphumule noma uzama ukulala. Abanye abantu bavuka ebuthongweni beklwebha noma behlikihla lezi zindawo. Uma uqhubeka nokuklwebha, iziphetho zemizwa esikhumbeni ziyavuselelwa futhi ukuklwebha kuba kubi nakakhulu. Bese uklwebha kakhulu. Uma lo mjikelezo "wokuklwebha futhi" uqhubeka, lokhu kungaba yisimo esingapheli.

Isikhumba sibukeka kanjani uma une-neurodermatitis?

Lezi zindawo ezilumayo zivela njengezibazi esikhumbeni. Lezi zindawo ngokuvamile zinobubanzi obungamasentimitha angu-3 kuya kwangu-6 kanye nobude obungamasentimitha angu-6 kuya kwangu-10. Lezi zindawo zingase zibukeke kanje:

• Kungaba komile .
• Isikhumba singase sibonakale sijiyile .
• Ingabonakala njenge-coral .
• Kungabukeka njengesikhumba .
• Umbala ungahluka . Ungaba bomvu, nsundu, ophuzi, ompunga, noma ngisho onsomi.
• Amabala amadala angase abe mhlophe noma akhanye phakathi nendawo, abe nombala omnyama nxazonke.
• Ngokuhamba kwesikhathi, izibazi zingase zivele .

Into ebalulekile ukuthi ngokuqhubeka nokuklwebha, iziphetho zemizwa esikhumbeni ziyavuseleleka kakhulu, okwenza ukulunywa kube kubi kakhulu. Kufana nomjikelezo omubi.

Ubani okungenzeka kakhulu ukuthi athole lesi simo?

Ucwaningo luthole ukuthi cishe abantu abayi-12% banesifo se-neurodermatitis. Kuthiwa abantu abaneminyaka ephakathi kuka-30 no-50 banamathuba amaningi okuthola lesi simo. Abesifazane banamathuba aphindwe kabili okuthola lesi sifo kunabesilisa.

Futhi okunye,Abantu abanezinkinga zokukhathazeka, izifo ezibangelwa ukucindezeleka ngokweqile (OCD), kanye nomlando womndeni wezinye izimo zesikhumba ezifana ne-eczema noma i-contact dermatitis nabo basengozini enkulu yokuthola i-neurodermatitis.

Ezinye izifundo zakamuva ziphakamise ukuthi abantu abanezimpawu ezithile zobuntu - njengamakhono aphansi okuxhumana nabantu, ukungaguquguquki, ukugwema ubuhlungu, ukuthembela kwabanye, ukuzama njalo ukujabulisa abanye, kanye nokuzibophezela ngokweqile - ​​banamathuba amaningi okuthola i-neurodermatitis. Kodwa-ke, ezinye izifundo azikatholi ukuxhumana phakathi kwalezi zimpawu zobuntu nesifo. Ngakho-ke kusenzima ukusho ngokuqinisekile.

Ziyini izimbangela ze-neurodermatitis?

Eqinisweni, imbangela eqondile ye-neurodermatitis ayikakaziwa. Kodwa-ke, kuye kwaphawulwa ukuthi ukulunywa kuqala ngezikhathi zokucindezeleka okukhulu, ukukhathazeka, ukulimala ngokomzwelo, noma ukucindezeleka. Ngezinye izikhathi, ukulunywa kungaqhubeka ngisho nangemva kokuba ukucindezeleka sekuphelile noma kuphelile.

Ezinye izinto zingadala i-neurodermatitis:

• Ukulimala kwemizwa.
• Ukulunywa yizinambuzane.
• Isikhumba esomile.
• Ukugqoka izingubo eziqinile, ikakhulukazi izingubo ezenziwe ngemicu yokwenziwa njenge-polyester noma i-rayon, kungabangela isikhumba esibucayi ukuba sisabele ngokweqile bese siqala ukulunywa.
• Ezinye izimo zesikhumba. Ngezinye izikhathi, i-neurodermatitis ingavela futhi ngenxa yezimo zesikhumba ezifana ne-eczema kanye ne-psoriasis.

Ziyini izimpawu ze-neurodermatitis?

Ngaphezu kokulunywa, ukuklwebheka njalo, kanye namabala esikhumba omile, anombala ohlukile, i-neurodermatitis ingaba nezinye izimpawu:

• Ubuhlungu.
• Ukulahlekelwa izinwele ngenxa yokulunywa nokuklwebheka kwesikhumba sekhanda.
• Ukuklwebha njalo kubangela ukuthi isikhumba siphuke futhi siphume igazi.
• Ukutheleleka. Uma amanxeba ekhipha uketshezi oluphuzi noma enamaqhubu agcwele ubomvu, kungaba ukutheleleka.
• Izibazi ngenxa yokuklwebheka.
• Isikhumba esithintekile siqala ukubukeka njengemibimbi .

Wazi kanjani ukuthi lokhu kuyi-neurodermatitis?

Uma unalezi zimpawu, into engcono kakhulu ongayenza ukubonana nodokotela wesikhumba. Uzohlola indawo yakho elumayo, mhlawumbe esebenzisa ithuluzi elikhethekile (i-'scope').

Okokuqala, udokotela uzohlola ezinye izimo zesikhumba, njenge-eczema ne-psoriasis, ukuqinisekisa ukuthi azikho. Ngemuva kwalokho, bazobuza ngomlando wakho wezokwelapha ophelele, futhi bangase babuze imibuzo efana nalokhu:

• Kuqale nini ukulunywa?
• Ingabe kuyahlala njalo, noma kuyafika kudlule?
• Ingabe kukhona ukwelashwa okwenzile ekhaya?

Ukuhlolwa kokuxilonga

Ngezinye izikhathi, udokotela angadinga futhi ukwenza ezinye izivivinyo:

• Ukuhlolwa kwe-skin swab: Ukuthola ukuthi kukhona yini ukutheleleka.
• Ukuhlolwa kwe-patch: Ukuze kutholakale ukuthi inkinga ibangelwa yini ukungezwani komzimba.
• Ukuhlolwa kwesikhunta: Hlola ezinye izifo zesikhumba kanye nezifo ezithathelwana ngocansi endaweni.
• I-biopsy yesikhumba: Ukuthola ukuthi unezimo ezifana ne-psoriasis noma i-mycosis fungoides (uhlobo lwe-lymphoma).
• Ukuhlolwa kwegazi.

Iphathwa kanjani i-neurodermatitis?

I-Neurodermatitis ayivamile ukuxazululeka ngaphandle kokwelashwa. Ngakho-ke, udokotela wesikhumba uzokwakha uhlelo lokwelashwa olufanela wena. Umgomo oyinhloko ukuvimba ukulunywa nokuklwebheka.

Izinketho zokwelapha zifaka:

Izinhlobo zemithi

• Ama-Corticosteroids: Le mithi ingasetshenziswa endaweni ethintekile noma ifakwe endaweni. Ama-Corticosteroids anciphisa ukubomvu, ukuvuvukala, ukuvuvukala, ukulunywa, kanye nokuqina. Aphinde asize ukuthambisa isikhumba esijiyile.
• Ama-antihistamine: Athathwa ngaphambi kokulala, angasiza ekunciphiseni ukulunywa ebusuku. Angasiza futhi ekuvimbeleni ukusabela kokungezwani komzimba okungenza isimo sibe sibi kakhulu.
• Ama-antibiotic: Lawa anikezwa uma indawo lapho amabala athelelekile khona. Lawa anganikezwa njengokhilimu wangaphandle noma njengamaphilisi.
• Ama-moisturizer: Lawa anciphisa ukoma kwesikhumba nokulunywa.
• Ukulungiswa kwe-coal tar: Le mithi isiza ukususa amangqamuzana esikhumba afile futhi yehlise ijubane lokukhula kwamangqamuzana amasha. Ingafakwa ngqo esikhumbeni noma ifakwe emanzini okugeza.
• Ama-Capsaicin creams: Lawa anganciphisa ubuhlungu kanye nokulunywa.

Esinye iseluleko esinikezwe udokotela

Udokotela wakho angase futhi asikisele izinto ezifana nalezi:

• Ukufaka ibhandishi: Ukusebenzisa amabhandishi, amasokisi, noma amagilavu ​​kungasiza ekuvimbeleni ukuklwebheka ebusuku. Lokhu kungakusiza ulale kangcono. Ukufaka ibhandishi kusiza nesikhumba ukuthi simunce umuthi kangcono. (Lokhu kubizwa nangokuthi `(ukuvaleka)`).
• Ama-compress apholile: Lawa angasetshenziswa esikhumbeni cishe imizuzu emihlanu ngaphambi kokusebenzisa ama-corticosteroids. Lokhu kuzothambisa isikhumba futhi kusize ukuthi simunce umuthi kalula, futhi kunciphise ukulunywa.
• Ama-antidepressant kanye/noma ukwelashwa: Uma ukukhathazeka, ukucindezeleka, noma ukucindezeleka kucatshangwa ukuthi kuyimbangela yokulunywa, lokhu kwelashwa kungasikiselwa.

Ezinye izindlela zokwelapha

Uma kungekho kulezi zindlela zokwelapha ezisebenzayo, kunezindlela eziningana zokwelapha ezingezona ezendabuko:

• Ukusebenzisa isisombululo se-aspirin ne-dichloromethane endaweni elumayo.
• Izindlela zokwelapha ezivame ukusetshenziswa ze-atopic dermatitis/eczema yi-tacrolimus kanye/noma i-pimecrolimus.
• Umjovo we-Botulinum toxin (Botox®). Lona iphrotheni enobuthi engenza buthaka imisipha yomzimba. Ocwaningweni lweziguli ezintathu ezine-neurodermatitis, zonke ezintathu zazinciphile ukulunywa zingakapheli isonto lokuqala ukwelashwa, kanti izindawo ezilumayo zase zinyamalale ngamasonto amane.
• Ukwelashwa okulula (`Phototherapy`): Lokhu akufaneleki ezindaweni zangasese.
• Ukuhlinzwa kwendabuko ukususa indawo elumayo, noma ukuhlinzwa okuhlinzayo, okusebenzisa umkhuhlane omkhulu ukubhubhisa izicubu ezingafuneki.

Kuthiwani uma ukulunywa kubangela isilonda?

Uma unenxeba lokuklwebheka ngenxa ye-neurodermatitis, udokotela wakho angase amboze indawo ngebhandeji.

Okunye ukwelashwa kubizwa ngokuthi "ukwelashwa kwezilonda okungenamandla ." Lokhu kuhilela ukusebenzisa into efana ne-vacuum ukususa uketshezi esilondeni nokwandisa ukugeleza kwegazi endaweni.

Ukwelashwa nge-hyperbaric oxygen kuhilela ukubeka isiguli ekamelweni le-oxygen nokuphefumula i-oxygen emsulwa. Lokhu kwandisa ikhono lomzimba lokuzelapha. Ukuhlinzwa kwenxeba kungenye indlela.

Izinto ongazenza ukuze usheshise ukululama

Uma une-neurodermatitis, kufanele ulandele uhlelo lokwelashwa olunikezwa udokotela wakho ngqo. Futhi, zama ukuhlala uzolile futhi ungesabi. Lokhu kungabhebhethekiswa ukukhathazeka nokucindezeleka. Khumbula futhi lezi zinto:

• Zama konke okusemandleni akho ukuyeka ukuklwebha nokuhlikihla. Kodwa-ke, gcina izinzipho zakho zinqunyiwe zibe zimfushane. Lokhu kuzosiza ekunciphiseni umonakalo ongase uvele uma uziklwebha ngengozi.
• Faka iqhwa, umuthi wokunciphisa ukulunywa, noma ukucindezela umkhuhlane endaweni ekulunywayo.
• Geza ngamanzi abandayo. Lokhu kuzonciphisa ukushisa komzimba futhi kunciphise ukulunywa. Faka i-oatmeal ye-colloidal emanzini okugeza. Lokhu kuzonciphisa nokulunywa.
• Gcina izinga lokushisa lomzimba likhululekile futhi lipholile.
• Kungcono ukugqoka izingubo ezikhululekile, kanye nokotini omningi ngangokunokwenzeka.
• Mboza indawo elumayo ngezingubo, faka ibhandishi eliqukethe i-corticosteroid, noma ufake i-Unna boot, ibhandishi eliqukethe izithako zokwelapha njenge-zinc oxide. Lolu hlobo lokumboza lungavimbela ukuklwebheka.
• Ungasebenzisi noma yini elimaza isikhumba noma ebangela ukungezwani komzimba.

Liyini ikusasa labantu abane-neurodermatitis?

Ngohlelo lokwelashwa olufanele, i-neurodermatitis ingalapheka ngokuphelele. Kodwa-ke, udokotela kanye nesiguli kungadingeka bashintshe uhlelo lokwelashwa futhi bazame izinhlelo ezahlukene. Into ebaluleke kakhulu ukusebenza ngokuvumelana nohlelo. I-Neurodermatitis ingaba nzima kancane ukuyiphulukisa, ikakhulukazi uma isivele endaweni yokuzala.

Ngeshwa, i-neurodermatitis ingaphinde ivele ngenxa yezinto ezibangela lesi sifo. Uma kunjalo, kungase kudingeke ukwelashwa futhi. Ngezinye izikhathi, udokotela angaqhubeka nokwelapha isiguli esesilulame kulesi simo ukuze avimbele ukuphinda sivele.

Akuvamile kakhulu, i-neurodermatitis ingakhula ibe umdlavuza wesikhumba, njenge-squamous-cell carcinoma noma i-verrucous carcinoma. Lokhu kungabangelwa ukuklwebheka nokuhlikihla njalo. Lokhu kungavuselela amakhemikhali angabangela amangqamuzana esikhumba ukuba abe umdlavuza. Ngakho-ke, kubalulekile ukufuna iseluleko sezokwelapha ngokushesha uma unezimpawu.

Izinto ezibaluleke kakhulu okudingeka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, manje usuyazi okuningi nge-neurodermatitis. Khumbula, nakuba kungaba yinto ecasulayo, kuyisimo esingelapheka ngokwelashwa okufanele.

• Uma unalezi zimpawu, qiniseka ukuthi ubonana nodokotela wesikhumba. Ungaziphilisi.
• Landela uhlelo lokwelashwa udokotela wakho akunikeza lona ngqo. Ungayeki ukuthatha umuthi ngokushesha nje lapho ukulunywa sekudambile, qhubeka uwuthatha isikhathi eside njengoba udokotela wakho ekutshela.
• Lawula ukuklwebha ngangokunokwenzeka. Gcina izinzipho zakho zimfushane, futhi umboze izandla zakho ebusuku uma kudingeka.
• Zama ukunciphisa ukucindezeleka . Izinto ezifana ne-yoga nokuzindla zingasiza.
• Gqoka izingubo ezikhululekile ezenziwe ngemicu yemvelo njengokotini ezithambile esikhumbeni.
• Gwema izinto eziyingozi esikhumbeni sakho.

Ngiyethemba ukuthi lolu lwazi luwusizo kuwe. Hlala uphilile!

I- Neurodermatitis, Isifo Sesikhumba, Ukuluma, Ukuqubuka Kwesikhumba, Ukucindezeleka, Udokotela Wesikhumba, I-Neurodermatitis